Active NPI
Intown Midwifery, LLC
Doing business as Intown Midwifery
- Advanced Practice Midwife
- Stone Mountain, GA
National Provider Identifier
1902118334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN029330
- Legal business name
- INTOWN MIDWIFERY, LLC
- Doing business as
- Intown Midwifery
- Practice address
- 5049 Bent Tree Loop
Stone Mountain, GA 30083-1538 - Phone
- (678) 770-0728
- NPI assigned
- Jul 14, 2010
- Last updated
- Jul 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Sheree McClure
- Title
- Admin Assist/Office Liaison
- Phone
- (678) 770-0728
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN184793 | GA | |
| Advanced Practice Midwife | 367A00000X | RN184793 | GA | |
| Advanced Practice Midwife | 367A00000X | RN029330 | GA | Primary |
Addresses
Primary practice location
5049 Bent Tree Loop
Stone Mountain, GA 30083-1538
Mailing address
285 Boulevard NE
Ste 520
Atlanta, GA 30312-4205
Phone (404) 622-9810
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00951651B | Medicaid | GA |
Other names 1
- Intown Midwifery
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1279065600000",
"number": "1902118334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "285 BOULEVARD NE",
"address_2": "STE 520",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303124205",
"telephone_number": "404-622-9810",
"fax_number": "404-265-2801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5049 BENT TREE LOOP",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300831538",
"telephone_number": "678-770-0728"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTOWN MIDWIFERY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-14",
"last_updated": "2010-07-14",
"status": "A",
"authorized_official_last_name": "MCCLURE",
"authorized_official_first_name": "SHEREE",
"authorized_official_title_or_position": "ADMIN ASSIST/OFFICE LIAISON",
"authorized_official_telephone_number": "678-770-0728",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "GA",
"license": "RN184793",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "RN184793",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "RN029330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00951651B",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Intown Midwifery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.